agree with this, as an addenda to my previous message, I think the big issue is as noted here, PUT IT ALL IN THE RAP AND CARE PLAN and you've covered all bases.
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Connie L. Frank Sent: Monday, February 09, 2004 9:10 AM To: [EMAIL PROTECTED] Subject: RE: Section K There must be variations in interpretation. By history I had always reflected any variations throughout the 180 days, but at a seminar in early winter was told we were to capture the picture by look at current vs a snapshot of what it looked like 180 days ago. You just can't win. I guess I'm going to try to be apology to the surveyor, begging forgiveness for my stupidity in coding....and reflect it ALL in the rap. -----Original Message----- From: Holly McGran [mailto:[EMAIL PROTECTED] Sent: Monday, February 09, 2004 7:23 AM To: [EMAIL PROTECTED] Subject: RE: Section K Betty - what state are you in? > -----Original Message----- > From: betty haines [SMTP:[EMAIL PROTECTED] > Sent: Friday, February 06, 2004 8:39 AM > To: [EMAIL PROTECTED] > Subject: RE: Section K > > Holly, During our last survey, I was cited for the 10% weight loss DURING the last 180 days. My interpretation had always been IN 180 days, so I compared weights from now and 180 days ago. The surveyor said this was incorrect and any weight loss of 10% at any time during that period, whether they recouped the weight or not, should be counted. > Betty H > > Holly McGran <[EMAIL PROTECTED]> wrote: > > The problem is our Dietician - I am specifically talking about a resident who has frequent weights (q week/q2 weeks) during the 30 days/180 days, for what ever reason. She is not always taking the current weight and comparing the weight closest to the 30 day or 180 day to determine a 5%/10% weight loss. If there was say a 10% weight loss during 180 days with 2 arbitrary weights, but not with the current weight compared to the weight closest to 180 days - she feels this should be reflected in the MDS. > We (MDS Coord and I) think it should be done as you mentioned - address that period of weight loss in your notes, but it does not meet the definition for it to be addresssed in the MDS - I wanted to make sure we were right before addressing with her. > Thank you. > Holly McGran MSN RN > > > -----Original Message----- > > From: Maureen Stettner [SMTP:[EMAIL PROTECTED] > > Sent: Thursday, February 05, 2004 1:25 PM > > To: [EMAIL PROTECTED] > > Subject: Re: Section K > > > > Not sure I understand. To calculate a weight change for 30 days. I would take the one closest to 30 days back from my most recent weight, regardless of what all the weights were in between. > > > > Why the fluctuation? same scales? same time of day? same recorder? > > > > [EMAIL PROTECTED] > > > > > > ----- Original Message ----- > > From: Sherry Salinas > > To: [EMAIL PROTECTED] > > Sent: Thursday, February 05, 2004 12:33 PM > > Subject: Re: Section K > > > > "last recorded weight" per manual, pg 3-150. > > > > Sherry > > > > Holly McGran > wrote: > > > > > > I am posting this again - hoping someone will take a few minutes to reply. > > > > We are having some discussion here on section K and I am very interested in knowing how everyone fills out section K3 Weight Change. You are looking back (from the ARD) 30 days and 180 days - you take the current weight and compare with weights done 30 days ago and 180 days ago - we got that. The question is if there is more than one weight done in that 30 day look back - do you compare your most current with the last one done in that 30 day window or do you compare with the lowest weight recorded regardless if it is closest to the most current or the highest weight in the window. How are you all doing this?? Thank you in advance. > > Holly QI in CT > > > > /---------------------------------------------------------- > > The Case Mix Discussion Group is a free service of the > > American Association of Nurse Assessment Coordinators > > "Committed to the Assessment Professional" > > Be sure to visit the AANAC website. Accurate answers to your > > questions posted to NAC News and FAQs. > > For more info visit us at http://www.aanac.org > > -----------------------------------------------------------/ > > > > > > _____ > > > > Do you Yahoo!? > > Yahoo! Finance: Get your refund fast by filing online > > > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org> > -----------------------------------------------------------/ > > _____ > > Do you Yahoo!? > Yahoo! Finance: Get your refund fast by filing online <http://us.rd.yahoo.com/evt=22055/*http://taxes.yahoo.com/filing.html> /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
